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Geographic Variation in Maternal Smoking during Pregnancy in the Missouri Adolescent Female Twin Study (MOAFTS)

Author

Listed:
  • Min Lian
  • Pamela A Madden
  • Michael T Lynskey
  • Graham A Colditz
  • Christina N Lessov-Schlaggar
  • Mario Schootman
  • Andrew C Heath

Abstract

Objective: Despite well-known adverse health effects of maternal smoking during pregnancy (MSP), it is still unclear if MSP varies geographically and if neighborhood socioeconomic deprivation (SED) plays an important role in MSP. This study aims to investigate small-area geographic variation in MSP and examine the association of SED with MSP. Methods: The Missouri Adolescent Female Twin Study (MOAFTS) is a cohort study of female like-sex twins born in Missouri to Missouri-resident parents during 1975–1985. Biological mothers completed a baseline interview in 1995–1998 and reported MSP with the twins. Residential address of the mother at birth was geocoded. We developed a census tract-level SED index using a common factor approach based on 21 area-level socioeconomic variables from the 1980 Census data. Multilevel logistic regressions estimated geographic heterogeneity (random effect) in MSP and the odds ratios (ORs, fixed effects) of neighborhood SED associated with MSP. Results: Of 1658 MOAFTS mothers, 35.2% reported any MSP and 21.9% reported MSP beyond the first trimester. Neighborhood SED was associated with any MSP (the highest vs. the lowest quartile: OR = 1.90, 95% confidence interval [CI] = 1.40–2.57, Ptrend

Suggested Citation

  • Min Lian & Pamela A Madden & Michael T Lynskey & Graham A Colditz & Christina N Lessov-Schlaggar & Mario Schootman & Andrew C Heath, 2016. "Geographic Variation in Maternal Smoking during Pregnancy in the Missouri Adolescent Female Twin Study (MOAFTS)," PLOS ONE, Public Library of Science, vol. 11(4), pages 1-13, April.
    • Handle: RePEc:plo:pone00:0153930
    DOI: 10.1371/journal.pone.0153930
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    References listed on IDEAS

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    1. Shoff, Carla & Yang, Tse-Chuan, 2013. "Understanding maternal smoking during pregnancy: Does residential context matter?," Social Science & Medicine, Elsevier, vol. 78(C), pages 50-60.
    2. Gilman, S.E. & Breslau, J. & Subramanian, S.V. & Hitsman, B. & Koenen, K.C., 2008. "Social factors, psychopathology, and maternal smoking during pregnancy," American Journal of Public Health, American Public Health Association, vol. 98(3), pages 448-453.
    3. Kiernan, Kathleen & Pickett, Kate E., 2006. "Marital status disparities in maternal smoking during pregnancy, breastfeeding and maternal depression," Social Science & Medicine, Elsevier, vol. 63(2), pages 335-346, July.
    4. Yang, Tse-Chuan & Shoff, Carla & Noah, Aggie J. & Black, Nyesha & Sparks, Corey S., 2014. "Racial segregation and maternal smoking during pregnancy: A multilevel analysis using the racial segregation interaction index," Social Science & Medicine, Elsevier, vol. 107(C), pages 26-36.
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